Medium-chain acyl-CoA dehydrogenase (MCAD)

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Homeostatic Imbalance

Medium chain acyl- dehydrogenase (MCAD)

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Pathway Affected

Beta- Oxidation

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Description

A mutation in the gene encoding MCAD is the most common defect in fatty acid catabolism among U.S. and northern European populations.

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Pathway/Symptoms

  • Fat accumulation in liver

  • Low blood glucose levels

  • Vomiting

  • Coma

  • Fatigue

  • Mortalitity 25% to 60%

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Treatment

  • low fat, carbohydrate diet

  • avoiding long intervals between meals